| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.40 | $8.40 | $8.40 | |
Aetna
| Professional | $4.88 | $8.40 | $20.00 | |
Anthem BCBS
| Professional | $5.89 | $5.89 | $5.89 | |
Denver HMP
| Facility | $4.94 | $8.40 | $20.00 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.40 | $8.40 | $8.40 | |
Aetna
| Professional | $4.88 | $8.40 | $20.00 | |
Anthem BCBS
| Professional | $5.89 | $5.89 | $5.89 | |
Denver HMP
| Facility | $4.94 | $8.40 | $20.00 |